Robert K Destefano, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

711 Hooper Ave
Toms River, NJ 08753-7716

Phone

(734) 349-8801

Fax

(732) 914-2474

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285742700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 MARTIN RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536067",
            "telephone_number": "732-506-6491",
            "fax_number": "732-914-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537716",
            "telephone_number": "734-349-8801",
            "fax_number": "732-914-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTEFANO",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akhilesh S Desai, MD
• Dilip N Desai, M.D. PA
• Desio Pain Institute P.a.
• Laurence R Desrochers, MD
• Vincent F Destasio, DO
• Kimberlee Devaney
• Paige Devecka, PMHNP BC
• Matthew Dever, MD
• Teena Dhakal, NP
• Sripad H Dhawlikar, MD

• Athletic Trainer in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.